Individual
D RICHARD MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5430 E WASHINGTON ST, INDIANAPOLIS, IN 46219-6449
(317) 322-1840
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 546-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008234A
IN
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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